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- ItemAcesso aberto (Open Access)Auto-estima em pacientes com carcinomas de pele(Colégio Brasileiro de Cirurgiões, 2007-12-01) Carvalho, Marcelo Prado de [UNIFESP]; Oliveira Filho, Renato Santos de [UNIFESP]; Gomes, Heitor Carvalho [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Juliano, Yara [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); UNIVÁS Departamento de BioestatísticaBACKGROUND: To evaluate self-esteem among patients with skin cancer of the face and the neck area. METHODS: One hundred patients were studied, with ages ranging between 30 and 90 years old (median = 55 years old). There were 44 males and 56 females. We divided them in two groups. One group had fifty patients with skin cancers, equal or larger than 10mm in the greater axis, and the pathological status was confirmed by previous biopsy. The control group had 50 patients without skin cancer. Rosenberg/UNIFESP-EPM's Self-esteem Scale was used to evaluate self-esteem. Data were analyzed by Mann - Whitney's test and Kruskal Wallis test. RESULTS: There was no significant difference between the two groups in relation to age (p = 0.331), sex and education. The mean tumor size was 20.9 ± 2 mm. Skin cancer patients presented significantly lower self-esteem, with average score of 6.84 and 3.90 for the control group (p = 0.002). CONCLUSION: Patients with skin cancer of the head and neck presented lower self-esteem than individuals without cancer.
- ItemAcesso aberto (Open Access)A autopercepção da voz do adolescente(Sociedade Brasileira de Fonoaudiologia, 2009-01-01) Almeida, Anna Alice Figueirêdo de [UNIFESP]; Behlau, Mara [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Paraíba; Centro de Estudos da VozPURPOSE: To verify the self-perception of adolescents concerning their own voice. METHODS: A questionnaire regarding voice and communication was applied to 80 volunteer adolescents, 58 female (72.5%) and 22 male (27.5%), with ages ranging from 10 to 19 years, participants of the Program of Adolescent Healthcare of the State of São Paulo. Subjects answered the questionnaire themselves, and data were statistically analyzed. RESULTS: The main age range was from 16 to 17 years (23 - 28.8%). Half of the subjects (41 - 51.3%) reported positive vocal characteristics, classifying it as normal (42 - 52.5%); in addition, 33 (41.3%) did not detect vocal modifications during adolescence, demonstrating satisfaction with their production (65 - 81.3%), referring that their voices matched their personality (27 - 33.8%) and, therefore, they did not wish to modify it (61 - 76,3%). The three most frequently reported negative vocal habits were: yelling (30 - 37.5%), drinking cold beverages (20 - 32.5%), and smoking (22 - 27.5%). In turn, the subjects reported as beneficial vocal habits: drinking water (31 - 38.8%), singing (30 - 37.5%) and not yelling (20 - 25%). Young men reported vocal problems related to pitch (54.5%, p<0.001), and young women, to loudness (32.1%, p<0.001). These problems were pointed out as impairing factors to their communication. CONCLUSION: The perception of adolescents about their voice and communication interferes in their relationship with others, in their way of thinking and acting, and the way they interact with reality and the society.
- ItemAcesso aberto (Open Access)Avaliação de sintomas depressivos em pessoas com úlcera venosa(Sociedade Brasileira de Cirurgia Plástica, 2012-03-01) Salomé, Geraldo Magela [UNIFESP]; Blanes, Leila [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade do Vale de Sapucaí; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Venous ulcers play an important role in patients' lives, as the incidence of deformities caused by this type of wound might produce adverse consequences, including psychosocial disorders. The objective of this study is to evaluate the occurrence of depressive symptoms presented by patients with venous ulcers. METHODS: An exploratory, descriptive, analytical, and cross-sectional study was conducted at the Outpatient Wound Clinic of the Hospital Set within the State of São Paulo. The data were collected by interviews between December 2008 and April 2009 after approval of the research project by the Research Ethics Committee of the Federal University of São Paulo (CEP-1611/08). The Beck Depression Inventory was the instrument of the study. RESULTS: Sixty patients participated in the survey. The majority (91.66%) showed some level of depression. There was a higher frequency of symptoms ranging from mild to moderate (n = 39; 65%). All levels of depression showed statistical differences. The five symptoms most commonly found were sadness, distorted body image, self-depreciation, decreased libido, and social withdrawal. Symptoms less represented were suicidal ideation and loss of appetite, each mentioned by only one patient. Forty-three patients were over 61 years old. Of these, 38 (88.4%) had depressive symptoms ranging from mild to severe. CONCLUSIONS: The data obtained and evaluated by the Beck Depression Inventory allow the conclusion that patients with venous ulcers present different levels of depressive symptoms.
- ItemAcesso aberto (Open Access)Body Shape Questionnaire, Escala de Auto-Estima Rosenberg/UNIFESP-EPM e Short-Form 36 após abdominoplastia(Universidade Federal de São Paulo (UNIFESP), 2007) Rocha, Maria José Azevedo de Brito [UNIFESP]; Nahas, Fabio Xerfan [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)INTRODUÇÃO: A abdominoplastia visa a restaurar o contorno do abdome. O objetivo deste estudo é avaliar a imagem corporal, auto-estima e qualidade de vida em pacientes submetidas à abdominoplastia. MÉTODOS: Distribuiu-se 40 pacientes do gênero feminino, entre 25-60 anos de idade, IMC entre 19-30kg/m2, com deformidade abdominal tipos III e A pela classificação de NAHAS, em dois grupos: Grupo Estudo com 25 pacientes submetidas a abdominoplastia e Grupo Controle com 15 pacientes sem intervenção cirúrgica. Três questionários foram aplicados: BSQ, Escala de Auto Estima ROSENBERG/UNIFESP-EPM, SF-36 no pré e pós-operatório de um e seis meses no Grupo Estudo, no pré-operatório e após seis meses no Grupo Controle. RESULTADOS: Trinta e nove pacientes terminaram o estudo. No Grupo Estudo (24 pacientes), a abdominoplastia provocou impacto positivo no primeiro mês pósoperatório, mantendo-se no sexto mês. Houve diferença estatisticamente significante em valores totais e nas subescalas (BSQ), na auto-estima (ROSENBERG/ UNIFESPEPM) e no domínio saúde mental (SF-36). Nos domínios aspectos físicos, emocionais e vitalidade (SF-36), houve diferença estatisticamente significante apenas no pósoperatório de um mês. As demais dimensões não apresentaram diferença estatisticamente significante. No Grupo Controle, a diferença não foi estatisticamente significante em todos os domínios do BSQ, na auto-estima (ROSENBERG/UNIFESPEPM) e domínios do SF-36, com exceção do domínio vitalidade. Quando comparados os dois grupos aos seis meses, os valores não apresentaram diferença estatisticamente significante em nenhum dos domínios, com exceção da subescala percepção comparativa da imagem corporal (BSQ). CONCLUSÃO: A abdominoplastia promoveu melhora da imagem corporal, auto-estima e saúde mental.
- ItemAcesso aberto (Open Access)Impacto da hipertrofia mamária e da mamoplastia redutora na imagem corporal(Universidade Federal de São Paulo (UNIFESP), 2017-06-01) Fonseca, Cristiane Costa [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Rocha, Maria José Azevedo de Brito [UNIFESP]; http://lattes.cnpq.br/3846281522105441; http://lattes.cnpq.br/1695706360514926; http://lattes.cnpq.br/4866360247611152; Universidade Federal de São Paulo (UNIFESP)Introduction: Body image dissatisfaction is the main component that motivates the seek for plastic surgery; however, there are few studies that associate it with reduction mammaplasty. Objective: To evaluate the impact of breast hypertrophy and breast reduction on women´s body image. Methods: Women with breast hypertrophy scheduled for breast reduction from June 2013 to December 2015 were prospectively evaluated (mammaplasty group), as well as women with normal sized breasts (normal size breast group). The Body Dysmorfic Disorder Examination (BDDE), the Body Investment Scale (BIS) and the Breast Evaluation Questionnaire (BEQ55) were applied by interview at baseline and after six months. For the analysis it was applied ANOVA with repeated measures, for intergroup and intragroup comparisons between time points. Results: A total of 103 women in each group were enrolled. In the intergroup comparison, after the operation, women who underwent mammaplasty presented less negative body image symptoms (BDDE, p≤0.001) and were more satisfied with the body and breasts (BIS, p=0.157) than normal volume breasts women, besides to invest more in appearance (BEQ55, p≤0.001). Conclusion: The reduction mammaplasty improved body image of women with breast hypertrophy.
- ItemAcesso aberto (Open Access)Qualidade de vida em pacientes com úlcera venosa em terapia compressiva por bota de Unna(Sociedade Brasileira de Cirurgia Plástica, 2012-09-01) Salomé, Geraldo Magela [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Venous ulcers are a major public health problem worldwide and are responsible for considerable economic impact because of their high incidence. In addition to restricting daily living and leisure activities, they may result in changes in quality of life and self-esteem, and even lead to depression. The aim of this study is to evaluate the quality of life in patients with venous ulcers who are being treated with Unna's boot compression therapy. METHODS: Fifty patients with venous ulcers treated at the Conjunto Hospitalar de Sorocaba were enrolled. Data were collected using the Short Form-36 (SF-36) health survey upon inclusion in the study and after 4, 8, and 12 months of compression therapy. RESULTS: Initial mean SF-36 scores were low (15.10), indicating decreased quality of life. After 12 months of Unna's boot compression therapy, the mean SF-36 score was 95.38, indicating improved quality of life (P = 0.0001). CONCLUSIONS: Patients with venous ulcers at the beginning of data collection had lower quality of life but improved after 8 months of treatment with Unna's boot compression therapy.
- ItemAcesso aberto (Open Access)Quality of life and self-esteem in patients submitted to surgical treatment of skin carcinomas: long-term results(Sociedade Brasileira de Dermatologia, 2014-07-01) Maciel, Paula Curitiba; Veiga-Filho, Joel; Carvalho, Marcelo Prado de; Fonseca, Fernando Elias Martins; Ferreira, Lydia Masako [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Universidade do Vale do Sapucaí; Universidade Federal de São Paulo (UNIFESP)BACKGROUND:Cancer is a multifactorial disease and skin carcinomas are the most common type of cancer. Assessing quality of life and self-esteem outcomes in skin cancer patients is important because these are indicators of the results of the treatment, translating how patients face their lives and their personal relationships.OBJECTIVE:To assess the late impact of the surgical treatment of head and/or neck skin carcinomas on quality of life and self-esteem of the patients.METHODS:Fifty patients with head or neck skin carcinomas were enrolled. Their age ranged between 30 and 75 years, 27 were men and 23 were women. Patients were assessed with regard to quality of life and self-esteem, preoperatively and five years postoperatively. Validated instruments were used: the MOS 36-item Short-form Health Survey (SF-36) and the Rosenberg Self-esteem/EPM-UNIFESP Scale. The Wilcoxon signed-rank test was used for the statistical analysis.RESULTS:Twenty-two patients completed the five-year follow-up, 54.5% women and 45.5% men. Compared to the preoperative assessment, patients had an improvement in mental health (p=0.011) and in self-esteem (p=0.002). There was no statistical difference with regard to the other domains of the SF-36.CONCLUSION:Patients submitted to surgical treatment of skin carcinoma improved mental health and self-esteem in the late postsurgical testing.
- ItemAcesso aberto (Open Access)Repercussões na auto-estima provocadas pela tricotomia em craniotomia(Universidade de São Paulo, Escola de Enfermagem, 2009-09-01) Diccini, Solange [UNIFESP]; Yoshinaga, Suellen Naomi [UNIFESP]; Marcolan, Joao Fernando [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This quantitative-based, prospective-oriented study aims to evaluate the repercussion of hair removal in post-craniotomy's patient self-esteem. Data show that the majority of patients mentioned not having an altered self-esteem due to hair removal; self-esteem was kept the same among patients that were instructed about the hair removal process. The major part of patients made use of accessories as a strategy to hide shaved areas and believed that hair removal damaged neither their quality of life nor their social relationships. We conclude that the feelings directly related to the decrease of self-esteem are loss of physical attraction, insecurity and shame. The employment of accessories is made necessary towards improving self-esteem, and healthcare professionals must work with the psychosocial aspects of pre and post-surgery patients.
- ItemAcesso aberto (Open Access)Short Form-36 e escala de auto-estima de Rosenberg/UNIFESP-EPM em pacientes com maloclusão classe III de Angle(Universidade Federal de São Paulo (UNIFESP), 2006) Vieira, Leonardo Caldas [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)INTRODUÇÃO: O prognatismo pode ser definido como uma projeção da mandíbula. Essa alteração foi estudada por Angle e então classificada como Classe m, em 1899. Essa maloclusão pode causar problemas na aparência e na saúde comprometendo a qualidade de vida do paciente. A opinião do paciente sobre os resultados dos tratamentos empregados ganha cada vez mais prestígio e é hoje um consenso entre os profissionais. O estudo de qualidade de vida tem se desenvolvido por muitos anos e é usado para analisar os tratamentos empregados aos pacientes. OBJETIVO: Avaliar a qualidade de vida e a auto-estima de pacientes Classe III de Angle. MÉTODO: O estudo foi feito em 45 pacientes selecionados consecutivamente e classificados como Classe I, grupo de estudo, 20 pacientes, e Classe III grupo controle, 25 pacientes. O instrumento genérico SF¬36 e o instrumento específico Escala de Auto-estima Rosenberg/UNISFESP-EPM foram respondidos por todos os pacientes. RESULTADOS: Foi encontrada diferença estatisticamente significante no aspecto Estado de Saúde Geral. CONCLUSÃO: A qualidade de vida dos grupos Classe I e Classe III mostrou-se semelhante e foi mostrado que o estado de saúde geral foi melhor para o grupo classe III.
- ItemSomente MetadadadosTradução para a Língua Portuguesa da Adaptação Cultural e Validação da Versão Brasileira da Escala de Auto-Estima de Rosenberg(Universidade Federal de São Paulo (UNIFESP), 2001) Dini, Gal Moreira [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
- ItemAcesso aberto (Open Access)Validade de construção e sensibilidade da escala de auto-estima Rosemberg/UNIFESP-EPM em lipoaspiração(Universidade Federal de São Paulo (UNIFESP), 2004) Dini, Gal Moreira [UNIFESP]; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introdução: Sentimentos conscientes e inconscientes sobre o corpo possuem uma importante forca psicologica. A cirurgia plastica pode alterar a aparencia de seus pacientes e, deste modo, alterar nao so o contorno corporal como a auto-imagem e auto-estima. Com a evolucao das Ciências ligadas a area da Saúde, surgem cada vez mais opcoes de tratamentos. Nos ultimos anos, questionarios de medida de qualidade de vida vem sendo largamente utilizados numa escala mundial, incluindo estudos internacionais multicentricos. A escala de Rosenberg e um instrumento desenvolvido nos Estados Unidos da America para avaliar um aspecto da qualidade de vida, que e a auto-estima. Esse aspecto, por estar associado a auto-imagem. parece ser uma medida interessante para avaliar resultado em cirurgia plastica. Para compararmos dados obtidos em estudos semelhantes realizados em populacoes cultural e linguisticamente distintas, e necessaria a padronizacao dos processos de traducao, adaptacao cultural e o teste de suas propriedades de medida (validade, reprodutibilidade e sensibilidade). Esse rigor metodologico assegura a uniformidade dos dados obtidos. Objetivos: Este trabalho tem como objetivo testar a validade de construcao e a sensibilidade responsividade da Escala de auto-estima Rosenberg UNIFESP/EPM em pacientes submetidos a lipoaspiracao. Material e Metodos: Foram operados 54 pacientes de ambos os sexos, com idade media de 28 anos. Estes apresentavam aumento do tecido adiposo no abdome [paciente tipo I (Pitanguy 2000)], associado ou nao a depositos localizados em outras regioes e manifestaram desejo da melhora estetica do contorno corporal. Foram aplicados 3 questionarios de avaliacao de qualidade de vida (Rosenberg - UNIFESP-EPM, Short Form-36, SRQ-20) antes e 6 meses apos o procedimento cirurgico. Resultados: Verifica-se que a lipoaspiracao melhorou as medias das seguintes dimensoes do questionario generico de qualidade de vida Short Form-36: Aspectos emocionais. Aspectos sociais, Saúde mental, Vitalidade, Capacidade funcional, Aspectos fisicos e Estado geral de Saúde. Houve diminuicao das medias para os instrumentos: Escala de Auto-estima Rosenberg - UNIFESP-EPM e SRQ-20. Sendo estas escalas inversas, apontou-se a melhora na qualidade de vida destes pacientes. A regressao demonstrou que 73,2 por cento da variabilidade da Escala de auto-estima foi explicada pelas dimensoes: SRQ-20 e Saúde Mental. Conclusao: A escala de auto-estima de Rosenberg/ UNIFESP-EPM apresentou validade de construcao e bons indices de sensibilidade responsividade em nosso meio